A5071594841- Meningioma and schwannoma management
- Head and Neck Surgical Oncology
- Pituitary Gland Disorders and Treatments
- Neurofibromatosis and Schwannoma Cases
- Craniofacial Disorders and Treatments
- Cerebrospinal fluid and hydrocephalus
- Glioma Diagnosis and Treatment
- Vascular Malformations Diagnosis and Treatment
- Ear and Head Tumors
- Facial Trauma and Fracture Management
- Ophthalmology and Eye Disorders
- Intracranial Aneurysms: Treatment and Complications
- Surgical Simulation and Training
- Traumatic Brain Injury and Neurovascular Disturbances
- Salivary Gland Tumors Diagnosis and Treatment
- Ear Surgery and Otitis Media
- Facial Nerve Paralysis Treatment and Research
- Adrenal and Paraganglionic Tumors
- Soft tissue tumor case studies
- Teratomas and Epidermoid Cysts
- Medical Imaging and Analysis
- Neuroblastoma Research and Treatments
- Tracheal and airway disorders
- Bone Tumor Diagnosis and Treatments
- Cerebrovascular and Carotid Artery Diseases
Emory University
2021-2025
The Ohio State University Wexner Medical Center
2017-2023
Augusta University
2022-2023
Emory Clinic
2022
Emory Healthcare
2022
Hospital Clínico San Carlos
2018-2021
Neurological Surgery
2017-2020
National University of Tucumán
2019-2020
Hospital Universitario Puerta de Hierro Majadahonda
2016-2020
George Washington University
2019
OBJECTIVE Giant pituitary adenomas (GPAs) are challenging skull base tumors due to their size and proximity critical neurovascular structures. Achieving gross-total resection (GTR) can be difficult, residual tumor burden is commonly reported. This study evaluated the ability of convolutional neural networks (CNNs) predict extent (EOR) from preoperative MRI with goals enhancing surgical planning, improving patient counseling, multidisciplinary postoperative coordination care. METHODS A...
Surgery for jugular paragangliomas (JPs) is known to be a formidable challenge because of the tumor's intimate involvement neurovascular structures. Although radiosurgery commonly first-line treatment, recent advances in neuroimaging, surgical techniques, and intraoperative monitoring have positioned surgery as feasible alternative aggressive tumors with substantial intradural extension not amenable upfront radiosurgery, provided surgeon has an in-depth knowledge lateral skull-base anatomy...
INTRODUCTION: The Early Minimally Invasive Removal of Intracerebral Hemorrhage (ENRICH) trial, which recently explored minimally invasive evacuation intracerebral hemorrhage (ICH), demonstrated a relevant clinical improvement in functional outcomes and mortality compared to standard medical care particularly for lobar haemorrhages. METHODS: We included all patients from the ENRICH surgical cohort (n=150), assessed several variables, including interval last known normal (LKN) surgery,...
INTRODUCTION: Minimally invasive evacuation of intracerebral hemorrhage (ICH) was recently investigated in the Early Invasive Removal Intracerebral Hemorrhage (ENRICH) trial, which showed a clinical benefit over medical treatment. METHODS: We performed post-hoc analysis surgical arm ENRICH trial. Surgeons' experience categorized as novice, intermediate, and expert per trial design also computed months practice since licensing. Institutions were classified comprehensive stroke centers(CSC) or...
INTRODUCTION: The Early Minimally Invasive Removal of Intracerebral Hemorrhage (ENRICH) trial has recently established a milestone for surgical intervention in lobar ICHs compared to medical management. METHODS: We conducted post-hoc study on the ENRICH arm, with sub-analyses and anterior basal ganglia (ABG) ICHs. Interval from last known normal (LKN) surgery, surgeon’s experience, ICH volume before after treatment, percentage hematoma evacuated, target end-of-treatment (EOTV) < 15 mL...
INTRODUCTION: We describe our preliminary investigation on microscopic real-time near-infrared indocyanine (NIR-ICG) fluorescence and white light overlay modality in anterior transpetrosal approaches for enhancing the intraoperative flow-dependent visualization of critical vascular structures. METHODS: used robotic microscope (ZEISS KINEVO 900Ò) built-in FLOW800 INFRARED800 functions with capabilities to provide simultaneous ocular NIR images. The surgical procedure was recorded, technical...
Abstract BACKGROUND Transorbital endoscopic approach (TOEA) to the cavernous sinus (CS) is a novel surgical technique. However, necessity of lateral orbital rim (LOR) osteotomy questionable. OBJECTIVE To illustrate dissection TOEAs CS and investigate additional benefit LOR osteotomy. METHODS Anatomic dissections were carried out in 7 cadaveric heads (14 sides). The performed before after osteotomy; herein referred as transorbital (LTOA) wall (LOWA), respectively. stereotactic measurements...
OBJECT This study proposes a variation of the transorbital endoscopic approach (TOEA) that uses lateral orbit as primary surgical corridor, in minimally invasive fashion, for posterior fossa (PF) access. The versatility this technique was quantitatively analyzed comparison with anterior transpetrosal (ATPA), which is commonly used managing lesions PF. METHODS Anatomical dissections were carried out 5 latex-injected human cadaveric heads (10 sides). During dissection, PF first accessed by...
Abstract BACKGROUND Numerous minimally invasive approaches to the skull base have been successively developed. Knowledge of surgical nuances a specific approach may facilitate selection. This study sought compare an extended version minipterional craniotomy (EMPT) with those transorbital endoscopic (TOEA) anterior and middle cranial fossae (ACF MCF, respectively). OBJECTIVE To quantitatively analyze area exposure freedom between EMPT TOEA ACF MCF. METHODS were carried out in 5 latex-injected...